Active NPI
Jennifer Baldwin, RPT
- Pediatric Physical Therapist
- Wando, SC
National Provider Identifier
1619088978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3167
- Practice address
- 116 Cainhoy Landing Rd
Wando, SC 29492-7801 - Phone
- (843) 442-7232
- Fax
- (843) 881-4001
- NPI assigned
- Aug 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3167 | SC | Primary |
Addresses
Primary practice location
116 Cainhoy Landing Rd
Wando, SC 29492-7801
Mailing address
116 Cainhoy Landing Rd
Wando, SC 29492-7801
Phone (843) 442-7232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1208 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3167 | SC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Playtime Pediatric Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Wando, SC
- NPI 1174634380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619088978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CAINHOY LANDING RD",
"city": "WANDO",
"state": "SC",
"postal_code": "294927801",
"telephone_number": "843-442-7232",
"fax_number": "843-881-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 CAINHOY LANDING RD",
"city": "WANDO",
"state": "SC",
"postal_code": "294927801",
"telephone_number": "843-442-7232",
"fax_number": "843-881-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDWIN",
"first_name": "JENNIFER",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "SC",
"license": "3167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1208",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wando, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.